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RENATA TEYTELBAUM, M.D., P.A. - Florida Company Profile

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Company Details

Entity Name: RENATA TEYTELBAUM, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 17 May 1993 (32 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 20 Jul 2017 (8 years ago)
Document Number: P93000035541
FEI/EIN Number 593181230
Address: 2310 West Bay Drive, suite B, Largo, FL, 33770, US
Mail Address: 2840 West Bay Drive, #306, Belleair Bluffs, FL, 33770, US
ZIP code: 33770
City: Largo
County: Pinellas
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Teytelbaum Renata Director 2840 West Bay Drive, #306, Belleair Bluffs, FL, 33770
TEYTELBAUM RENATA Agent 2840 West Bay Drive, #306, Belleair Bluffs, FL, 33770

National Provider Identifier

NPI Number:
1972716660

Authorized Person:

Name:
RENATA TEYTELBAUM
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
7277346440

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000128383 HOLISTIC MEDICINE OF BELLEAIR ACTIVE 2022-10-13 2027-12-31 - 2840 WEST BAY DRIVE, #306, BELLEAIR BLUFFS, FL, 33770

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2023-03-17 2840 West Bay Drive, #306, Belleair Bluffs, FL 33770 -
CHANGE OF PRINCIPAL ADDRESS 2022-10-13 2310 West Bay Drive, suite B, Largo, FL 33770 -
CHANGE OF MAILING ADDRESS 2022-01-29 2310 West Bay Drive, suite B, Largo, FL 33770 -
REINSTATEMENT 2017-07-20 - -
REGISTERED AGENT NAME CHANGED 2017-07-20 TEYTELBAUM, RENATA -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 - -

Documents

Name Date
ANNUAL REPORT 2024-04-29
ANNUAL REPORT 2023-03-17
ANNUAL REPORT 2022-01-29
ANNUAL REPORT 2021-01-12
ANNUAL REPORT 2020-06-20
ANNUAL REPORT 2019-04-19
ANNUAL REPORT 2018-03-05
REINSTATEMENT 2017-07-20
ANNUAL REPORT 2015-01-12
ANNUAL REPORT 2014-01-13

Paycheck Protection Program

Jobs Reported:
12
Initial Approval Amount:
$77,642
Date Approved:
2021-03-06
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$77,642
Race:
American Indian or Alaska Native
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$78,426.93
Servicing Lender:
Regions Bank
Use of Proceeds:
Payroll: $77,638
Utilities: $1
Jobs Reported:
12
Initial Approval Amount:
$70,300
Date Approved:
2020-05-05
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$70,300
Race:
American Indian or Alaska Native
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$71,056.93
Servicing Lender:
Regions Bank
Use of Proceeds:
Payroll: $70,300

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Date of last update: 01 Aug 2025

Sources: Florida Department of State